2020
DOI: 10.1007/s00018-020-03525-8
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What turns CREB on? And off? And why does it matter?

Abstract: Altered expression and function of the transcription factor cyclic AMP response-binding protein (CREB) has been identified to play an important role in cancer and is associated with the overall survival and therapy response of tumor patients. This review focuses on the expression and activation of CREB under physiologic conditions and in tumors of distinct origin as well as the underlying mechanisms of CREB regulation by diverse stimuli and inhibitors. In addition, the clinical relevance of CREB is summarized,… Show more

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Cited by 133 publications
(113 citation statements)
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References 224 publications
(188 reference statements)
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“…As a second messenger, cAMP is responsible for activation of the protein kinase A (PKA), exchange proteins directly activated by cAMP (Epac) and ion gated channel protein [ 7 ]. As one of the target proteins of PKA, cAMP response element binding protein (CREB) is an important transcription factor that regulates the expression of several genes including oncogenes c-Jun and cyclin D1 [ 8 ]. Notably, cAMP–PKA–CREB signaling has both tumor-suppressive and tumot-promoting effects on cancer, depending on the tumor types and context.…”
Section: Introductionmentioning
confidence: 99%
“…As a second messenger, cAMP is responsible for activation of the protein kinase A (PKA), exchange proteins directly activated by cAMP (Epac) and ion gated channel protein [ 7 ]. As one of the target proteins of PKA, cAMP response element binding protein (CREB) is an important transcription factor that regulates the expression of several genes including oncogenes c-Jun and cyclin D1 [ 8 ]. Notably, cAMP–PKA–CREB signaling has both tumor-suppressive and tumot-promoting effects on cancer, depending on the tumor types and context.…”
Section: Introductionmentioning
confidence: 99%
“…The upregulation of PKA activity in HCC cells by aspirin indicates that AMPK-mediated PKA activation outweighs PKA inactivation resulting from COX inhibition if the latter situation does happen. CREB has been identified to promote tumor progression and to be associated with the overall survival and therapy response of patients with many types of cancer, while it may be tumor-suppressive in some types of cancer [ 45 , 46 , 47 ]. From a therapeutic perspective, the induction of PKA and CREB/ATF1 activation by aspirin and AMPK may be a disadvantage for treating many cancer types.…”
Section: Discussionmentioning
confidence: 99%
“…Thus, the DNA binding site for CREB, the cyclic AMP-response element, has also been called the Ca 2+ -responsive element [30]. CREB is a substrate for multiple protein kinases including the cAMP-dependent protein kinase PKA, the Ca 2+ /calmodulin regulated protein kinase CaMKIV, mitogen and stressinduced protein kinase (MSK), MAP kinase kinase 6, protein kinase B, ribosomal S6 kinase and others [32][33][34][35]. binding protein).…”
Section: Ca 2+ -Responsive Transcription Factorsmentioning
confidence: 99%